Antolin, Candus Nicole
Antolin, Candus Nicole is an individual health care provider with primary practice located at 1 Jarrett White Rd , Tripler Army Medical Center HI 96859-5001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Antolin, Candus Nicole can be contacted via phone (808) 433-6418.Contact Information
Primary practice address
1 Jarrett White Rd
Tripler Army Medical Center HI 96859-5001
Phone: (808) 433-6418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 21233 | Hawaii |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD-21233 | Hawaii |
Profile Details
| NPI number | 1316449820 |
|---|---|
| LBN Legal business name | Antolin, Candus Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2018 |
| Last updated | Nov 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316449820 | NPPES |
| Other | VAD000 | MEDICARE UPIN |
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